Child-Pugh Class B °£°æº¯ ȯÀÚÀÇ ´ëµ¿¸Æ ÆǸ· ġȯ¼ú, »ï÷ÆÇ ¼ºÇü¼ú°ú ½É½Ç Áß°Ý °á¼Õ ºÀÇÕÀÇ ¸¶Ãë °æÇè
Anesthetic experience of aortic valve replacement, tricuspid valvuloplasty and VSD closure in a patient with Child-Pugh class B liver cirrhosis
Korean Journal of Anesthesiology 2009³â 56±Ç 5È£ p.578 ~ p.582
¾È¿©Çö(Ahn Yeo-Hyun) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
±èÁö¿¬(Kim Ji-Yeon) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
ÀÌ»óÀÏ(Lee Sang-Ill) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
±è°æÅÂ(Kim Kyoung-Tea) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
ÃÖ¿øÁÖ(Choi Won-Joo) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
¹ÚÀå¼ö(Park Jang-Su) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
±èÁ¤¿ø(Kim Jeong-Won) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ÀÏ»ê¹éº´¿ø ¸¶ÃëÅëÁõÀÇÇаú
Abstract
Open heart surgery under cardiopulmonary bypass (CPB) in patients with liver cirrhosis is prone to the development of various complications associated with high mortality rates. According to recent studies, patients with advanced cirrhosis (Child-Pugh class B or C cirrhosis) have a significantly higher mortality rate (50?100%) after open heart surgery under CPB. We report the anesthetic management of cardiac surgery using CPB of 61-year-old man with aortic valve regurgitation, tricuspid regurgitation and ventricular septal defect (VSD) who had complicated by liver cirrhosis of Child-Pugh class B. The patient underwent successfully aortic valve replacement, tricuspid valvuloplasty and VSD closure. The use of tranexamic acid and transfusion of fresh whole blood appears to produce beneficial effects for outcome.
Å°¿öµå
Cardiopulmonary bypass, Fresh whole blood, Liver cirrhosis, Open heart surgery, Tranexamic acid
KMID :
0356920090560050578
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À¯È¿¼º°á°ú(Recomendation)
The patient underwent successfully aortic valve replacement, tricuspid valvuloplasty and VSD closure.